| NPI | 1245035104 |
|---|---|
| Former Name | EVANGELINE LAMANILAO FORREST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 231743) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-08-19 |